Individual
SHAMIKA A GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1074 VALDES AVE, AKRON, OH 44320-2636
(330) 780-6187
Mailing address
1074 VALDES AVE, AKRON, OH 44320-2636
(330) 780-6187
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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